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SFD (224410)BUILDING PERMIT R P DRAINAGE PIPING -DEPARTMENT OF BUILDING & SAFETY DRINKING FOUNTAIN DBL. URINAL • COUNTY OF RIVERSIDE SMI FE CONSTRUCTION ESTIMATE----' r s vt -(ELECTRICAL FEESow--­ 1 ST FL. .. SQ. FT. "" 0 NO. " SQ.FT. @ KITCHEN SINK 2ND FL. J I F I M A I M - J I J A-1 S 1 0-1 ND SO. FT.1-1:5r s' f SHOWER MOTOR I OR LESS H.P. POR. 1,2,1740 SQ.FT. @a"J/ri SEWAGE DISPOSAL MOTOR 5 OR LESS H.P. GAR. M.H. HOOKUP FEE GAS PIPING O % PERMIT FEE COMMUNITY MOTOR 20 OR LESS H.P. CA SQ. FT. @ WALL SO.FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION i y NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL JiQ HOOD APPLIANCE fir^ FURNACE ❑ UNIT ❑ WALL ❑FLOOR ❑S SPENDED AIR HANDLING UNIT CFM GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL T COMPRESSOR HP APPLIANCE VENT ABSORPTION SYSTEM 0 B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM '6FORCED ❑ GRAVITY i BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is K.W. UNITS SIGN TRANS-. K W FORMER D OUTLETS FIXTURE OR SOCKET CONST. SERV. ENTRANCE POLE AMPERES SERV. ENT. SO. FT. @ ¢ SQ. FT. @ 4 SQ. FT. RESID. @ 14 SQ. FT. GARAGE@124 BALANCE OF MIN. FEE PERMIT FEE FIELD OFFICE PLUMBING FEES I DST.,; P MI N DRAINAGE PIPING MOB. HK. FEE MICRO FEE DRINKING FOUNTAIN DBL. URINAL ® WATER PIPING SMI FE FLOOR DRAIN DBL. WATER SOFTENER WASHER (AUTO) ISM) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET J I F I M A I M - J I J A-1 S 1 0-1 ND LAVATORY s' f SHOWER BATH TUB WATER HEATER USE OF BUILDDING /, F.C. 9-1405# SEWAGE DISPOSAL �I HOUSE SEWER M.H. HOOKUP FEE GAS PIPING O % PERMIT FEE P MI N TOTAL FEE MOB. HK. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE 10 DBL. ELECT. FEE DBL. SMI FE FEE PLUMB�FvE DBL. J I F I M A I M - J I J A-1 S 1 0-1 ND JOB ADDRESS, - - OWNER - - -- -- - } - 73 �v a'.."0 2. aI 74 ti USE OF BUILDDING /, F.C. 9-1405# DATE PERMN(y 75 I - I 17'alu M.H. HOOKUP FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT FFICE �' ! j 40 I L7-- MICROFILM FEE COPIES $ LEGAL DESCRIPTION ' �r co"?y MECHANICAL FEE' DBL $ SETBACK LOT SIZE ZONE USE NO. GRP PE ICK BY 17 d F S �PL a�a J ITY . PLAN CHECK FEE $ BOND AMT. 'PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR o U, CONSTRUCTION FEE.. .. DBL $ aV NAME OF CONST. LENDER BRANCH k,9 f 1.G OFFICE - .NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY p STATE SMI FEE $ - THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMS ED WITHIN 60 DAYS. CESSA- $ FEE TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORDANCE-WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO PLUMBING FEE DBL $ AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS $ TOTAL FEES �.. HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH ❑ CHECK M.O. ❑' N.C. ❑ OWNER. CONT ACTOR j d J. RECEIVED BY ADDRESSADDRESS Y �0;�*p ap 2 6 SEWAGE SYSTEM T LL P TREES REQUIRED YES NO CITY CITY ,OwINFORMATION /rTj c3✓d' ly TEL NO. TEL. NO. LICE E " FORM 284.208 (Rev. 11 /72) tZY~``� uQ / d `� >' ! �` r1 W4` / "'o:Ji+C►.